A 71-year-old man is brought to the emergency department with acute onset of headache, vomiting, and confusion. The family reports that he has a long history of poorly controlled hypertension with hypertensive renal disease and eye disease that were diagnosed 3 years ago. They report that, a few hours ago, he rapidly developed a very severe headache, and over the next half hour, became more lethargic and confused, and had five episodes of vomiting. His blood pressure is 2351140 mm Hg in both arms, and he appears to have a lateral gaze paralysis on the right. There is no nuchal rigidity, and the pupils appear reactive bilaterally; however, papilledema is evident on funduscopic exam. Which of the following is the most likely diagnosis? (A) Cerebellar hemorrhage (B) Epidural hematoma (C) Putamenal hemorrhage (D) Subarachnoid hemorrhage (E) Subdural hematoma https://facebook/groups/medclick/
Posted on: Sun, 08 Jun 2014 14:32:59 +0000
Trending Topics
Recently Viewed Topics
© 2015